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Titre : | Measuring resonance frequency of the middle ear in school-aged children : potential applications for detecting middle ear dysfunction (2023) |
Auteurs : | Cerys Downing, Auteur ; Joseph Kei, Auteur ; Carlie Driscoll, Auteur |
Type de document : | Article |
Dans : | International Journal of Audiology IJA (Vol. 62, n°11, November 2023) |
Article en page(s) : | p. 1076-1083 |
Note générale : | https://doi.org/10.1080/14992027.2022.2135033 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Enfant (6-12 ans) ; Fréquence de résonance ; Impédancemétrie ; Oreille moyenne ; Ouïe |
Résumé : |
Objective
This study established a normative range of resonance frequency (RF) values as estimated using Wideband Tympanometry (WBT) and determined the ability of WBT-estimated RF to predict the presence of middle ear dysfunction in school-aged children. Design Cross-sectional data were collected using a hearing screening test battery consisting of WBT, Pure Tone Screening (PTS), 226- kHz tympanometry, and ipsilateral Acoustic Stapedial Reflexes (ASR). Study sample About 1590 children aged 413 years. Results RF significantly decreased from 4 to 13 years of age (46 years, 928.95 kHz; 79 years, 872.80 kHz; 1013 years, 863.68 kHz). RF had area under the receiver operating characteristic curve (AROC) values between 0.589 and 0.626 to predict ears that failed PTS or 226- kHz tympanometry. RF below 627 kHz accurately predicted the presence of a Type B tympanogram (AROC 0.945). RF had high test-retest reliability with Intra-Class Coefficient value of 0.817 and good agreement according to Bland-Altman plot analysis. Conclusions WBT-estimated RF had fair diagnostic accuracy for predicting PTS and tympanometry results, but had excellent accuracy for predicting the presence of middle ear dysfunction, indicated by a Type B tympanogram. WBT-estimated RF does not require age-, gender-, ear- or ethnicity-specific normative data for clinical use with children. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.tandfonlin.com/doi/full/10.1080/14992027.2022.2135033 |